Evidence map›Paper›PMID 20152564›Full record

ArticleJournal of the American College of Cardiology2010

Evaluation of cuff-induced ischemia in the lower extremity by magnetic resonance oximetry.

Michael C Langham, Thomas F Floyd, Emile R Mohler, Jeremy F Magland, Felix W Wehrli

Abstract read
In one paragraph

Article in Journal of the American College of Cardiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
  2. Combined measurement of perfusion, venous oxygen saturation, and skeletal muscle T2* during reactive hyperemia in the leg.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2013
    Trial
  3. Article
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  5. Clinical physiology: the crucial role of MRI in evaluation of peripheral artery disease.American journal of physiology. Heart and circulatory physiology · 2024
    Review
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  12. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Michael C LanghamDepartment of Radiology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.
Thomas F Floyd
Emile R Mohler
Jeremy F Magland
Felix W Wehrli
California University of Pennsylvania · USUniversity of Pennsylvania · US

Funding

The Microcirculation in Claudication and Exercise RehabilitationR01HL075649 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI FLOYD, THOMAS FREDERICK, MOHLER, EMILE R. · 2003 to 2014
$5.0M
MRI Assessment of Vascular ReactivityR01HL109545 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI WEHRLI, FELIX W · 2011 to 2014
$2.1M
Training in Quantitative Magnetic Resonance ImagingT32EB000814 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI WEHRLI, FELIX W · 2003 to 2012
$1.7M
Integrated MRI-Based Examination for Evaluation of Peripheral Arterial DiseaseRC1HL099861 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI WEHRLI, FELIX W · 2009 to 2010
$907k
MRI Susceptometry for Measuring Hemoglobin Saturation In VivoR21HL088182 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI WEHRLI, FELIX W · 2008 to 2009
$433k
NHLBI NIH HHS R01 HL 075649NHLBI NIH HHS R01 HL075649NHLBI NIH HHS R01 HL109545NHLBI NIH HHS R21 HL088182NHLBI NIH HHS R21 HL88182NHLBI NIH HHS RC1 HL099861NIBIB NIH HHS T32 EB000814
6 · The paper itself

Abstract

objectivesThe aim of this study was to evaluate vascular function in the lower extremities by making direct time-course measurement of oxygen saturation in the femoral/popliteal arteries and veins during cuff-induced reactive hyperemia with magnetic resonance imaging-based oximetry.

backgroundMagnetic resonance imaging-based oximetry is a new calibration-free technique taking advantage of the paramagnetic nature of blood that depends on the volume fraction of deoxyhemoglobin in red blood cells.

methodsWe compared post-occlusive blood oxygenation time-course of femoral/popliteal vessels in: 1) young healthy subjects (YH) (n = 10; mean ankle-brachial index [ABI] 1.0 +/- 0.1, mean age 30 +/- 7 years); 2) peripheral arterial disease (PAD) patients (n = 12; mean ABI 0.6 +/- 0.1, mean age 71 +/- 9 years); and 3) age-matched healthy control subjects (AHC) (n = 8; mean ABI 1.1 +/- 0.1, mean age 68 +/- 9 years). Blood oxygenation was quantified at 3.0-T field strength with a field mapping pulse sequence yielding the magnetic susceptibility difference between blood in the vessels and surrounding muscle tissue from which the intravascular blood oxygen saturation is computed as %HbO(2).

resultsSignificantly longer washout time (42 +/- 16 s vs. 14 +/- 4 s; p < 0.0001) and lower upslope (0.60 +/- 0.20 %HbO(2)/s vs. 1.32 +/- 0.41 %HbO(2)/s; p = 0.0008) were observed for PAD patients compared with healthy subjects (YH and AHC combined). Furthermore, greater overshoot was observed in YH than in AHC (21 +/- 8 %HbO(2) vs. 10 +/- 5 %HbO(2); p = 0.0116).

conclusionsPost-occlusive transient changes in venous blood oxygenation might provide a new measure of vascular competence, which was found to be reduced in subjects with abnormal ABI, manifesting in prolonged recovery during the early phase of hyperemia.

Indexed as

AdultAgedAged, 80 and overFemaleFemoral ArteryFemoral VeinHumansIschemiaLower ExtremityMagnetic Resonance ImagingMaleMiddle AgedOximetryPopliteal ArteryPopliteal Vein

Identifiers

PMID20152564
PMCPMC2833093
OpenAlexW2035017960

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.